| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 0502F |
|
1,115 |
815 |
$54K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
993 |
909 |
$42K |
| 87591 |
Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe |
354 |
347 |
$16K |
| 87491 |
Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe |
353 |
346 |
$16K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
205 |
182 |
$14K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
121 |
118 |
$8K |
| 76817 |
Ultrasound, pregnant uterus, real time with image documentation, transvaginal |
118 |
112 |
$7K |
| 76830 |
Ultrasound, transvaginal |
83 |
82 |
$5K |
| 76805 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation |
12 |
12 |
$966.12 |
| 76856 |
Ultrasound, pelvic (nonobstetric), real time with image documentation; complete |
13 |
13 |
$862.80 |
| 87210 |
|
114 |
110 |
$517.00 |
| 87088 |
|
42 |
40 |
$475.02 |
| 85025 |
Blood count; complete (CBC), automated, and automated differential WBC count |
70 |
64 |
$396.06 |
| 90686 |
|
17 |
13 |
$329.91 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
27 |
26 |
$235.44 |
| 86592 |
|
32 |
32 |
$128.00 |
| 88142 |
|
13 |
13 |
$43.55 |
| 36415 |
Collection of venous blood by venipuncture |
176 |
150 |
$4.10 |